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Building Permit #022 - 230 SOUTH BRADFORD STREET 7/19/2006
TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION of< 1tio O Permit NO:A�, Date Received + i Date Issued: �s 4""p.����5 SACHUS� IMPORTANT: Applicant must complete all items on this page LOCATION ;L 30 &n9d S — j Print PROPERTY OWNER TACk SML-0 Print MAP NO. j.C— PARCEL: ZO2, ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial L Alteration No. of units: ?Olepair, replacement ❑ Assessory Bldg Commercial Demolition I� Movinp,(relocation) El Other Others: F Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: ..1�9 c IL, S 41,Li Phone: 9 79 695 Y/3/ Address: 2 h So,-+In dr-itj (0 A ���-- CONTRACTOR Name: pi'CeLAd 6a,,4j i n,,cT7o.a e Phone: 22,v VZ (013Y Address: f'Q-�'� cS�'�"2e.� 1-,0L,1 jk( kA 6(ys—/ Supervisor's Construction License: Exp. Date: Hume Improvement License: (,D Exp. Date: 2 2) ARCHITECT;'ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BOLDING P RMIT.$10.00 PER$1200.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ Z 7i 6„?�' x12.00=EEE:$ Check No.: 0/A S-13 Receipt No.: Page Iof4 TYPE OF SEWERAGE DISPOSAL Swimming Pools ., J Public Sewer Tanning/Massage/Body Art Tobacco Sales Food Packaging/Sales u Well J _ Permanent Dumpster on Site Private(septic tank,etc. I Electric iNleter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty.J'w:d Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: ZoninL, Decision!receipt submitted ycs Planning Board Decision: Continents Conservation Decision: Comments Water& Sewer connectiowSi nature& Date I Driveway Permit Temp Dumpster on site yes_no_ Fire Department signature to _ __ Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Re uiredProv4ided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA—(For department use) I''I�l 3 ail'-1 1kc'ISEI `:ILLS OF PAR'I'ML-NI`:BPFOR.W5 AICA.w_OW, Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERN iCis DEPAR r%n:v'r:iwi o►iwis r,,, 14.1 Location /1 �'6 0 14 &elo olkll7-z- No. 2. 2, Date g 14ORTPI TOWN OF NORTH ANDOVER F ° O� A ' Certificate of Occupancy $ 1'�s'•°''<� Building/Frame Permit Fee $ s4CHus6 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 8 �V +Building Inspector NORTH Town of _ /M1 over No. Q Z y o - 7/11 Am A over, Mass., COCMIC NEWICK 11 AORATED P? -`5 S BOARD OF HEALTH PER Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT. 01T T .. .�jR.�/ �� .................-............................................................................. Foundation has permission to erect........................................ buildings on 4130...5 O ..45 ..../ . .............� Rough . to be occupied asflafa��iiiil! Inneat .. � Chimney provided that the risermd shall in ever respect conform to the terms the application on file i Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction o Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI STARTS Rough ..... ........ ...... ... ............. Service ?ii CTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. M1 � JUN-19-2006 16:40 J F SHAW 9786582364 P.02 PIC.A,RD CONSTRUCTION CORP. PROPOSAL 85 Pevey Street Lowell, MA 01851 (978) 459-6135 —FAX (978) 459-7078 PROPOSAL SUBMITTED T0: DATE PROPOSAL# Mr.Jack Shaw 5/16/2006 7956 230 So. Bradford Street No.Andover;MA DESCRIPTION AMOUNT To supply necessary labor,material,equipment and insurance to perform the following limited scope of work: -Remove,inspect,and re-install eleven(11)windows. -Remove and replace decking and rails for two(2)decks. -Repair siding under one(1)deck. -Replace sono tubes under one(1)deck. -Remove and replace all siding on south elevation. -Remove and replace siding on south elevation above roof and inspect windows. -Remove siding around chimney,secure,repair and re-side. -Demo existing bulkhead and rebuild per field discussions. Remove and replace hand rail and post as needed at side entrance. Remove&replace roofing on main house&garage(see enclosed"modified"roofing proposal from Rondeau Const). -Install 20 oz.copper standing seam roof system(see enclosed proposal from Rondeau Construction). -Install 30"wide by 36"high copper ice belts on upper rear roof section. -Replace chimney cover with 20 oz.copper cap and repair rotted trim -Install smart vents at eaves and peaks as noted on enclosed sketch. -Pressure wash and apply two(2)coats of stain to house and garage. 107,625.00 NOTE: This proposal does not include work associated with large door system at the deck This proposal also does not include large window work. Any work not mentioned in limited scope can be performed at an hourly rate of$45.00 per man hour'and materials/subcontractor plus 20%. TERMS Total $107,625.00 All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from the above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. Owner to carry fire,tornado and other necessary insurance. All workers are fully covered by Workman's Compensation Insurance. * Note:This propo al be withdrawn' not accepted within 30 days. AUTHORIZED SIGNATURE- DATE: ' I -0b CUSTOMER ACCEPT E. DATE: 1 —0c, . Tie-�omma�uuea� � � BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Numbel'__CS. 066221 Birthdatey' t3(11 X66 � e 0�J3I 7 Tr.no: 7659.0 Reetrictd QO CHRISTOPHER LCA1C .� 3 NEWFIELD ST N CHELMSFORD, MA'f01t63 Commissioner ✓lze Toomr�nomufea�z. a���2 ,fi,��aelta Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: .125760 Board of Building Regulations and Standards Expiration: 2j27/2008 One Ashburton Place Rm 1301 Type: .Private Corporation Boston,Ma.02108 Picard ConstructionCorp Christopher Clarke 85St (lyz Lowellell,,MA 01851 Deputy Administrator of valid without signature 7/19/0..006 11:18 AN 'ROM: 603-4^.4-3203 Rri mn —Brow r nr NH, T u:. TO: +1 (978) 4597073 �Ar E: 001 OF 002.^. �CORDM CERTIFICATE OF LIABILITY INSURANCE 07/19/2006 PRODUCER FAX THIS CERTIFICATE IS ISSUED AS Q MATTER OF INFORMATION Brown816rown McDuffee Insurance ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE 3 Hollis St HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P 0 Box 1497 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pepperell, MA 01463 INSURERS AFFORDING COVERAGE NAIC# INSURED Picard Construction Corp. INSURERA National Grange Mutual Ins. 14788 85 Pevey Street INURCRD Commerce Insurance Company 34754 Lowell, MA 01851 INSURERC: Travelers Indemnity Company 25658 INSURER D: INSURER E VGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IIM NSRC NSR D' TYPE OF INSURANCE POAICYEFFECTIVE POLICYEXPIRATION OMITS POLICY NUMBER GENERAL LIABILITY MST42800 05/11/2006 05/11/2007 EACH D:;C..RRENUE $ 1,000,00( X CONIMERCIA_GENERAL LIA?I_IT>' DAMAGE-0 RENTED S 50 000 C_AIMS MADE OCCUR IRREMISES MED EXP(Ary ore persor) $ 10 000 A PFRSONA 4ADV INJIIP" $ 1-'000'00( GENERAL AGGREGATE $ 2,000,D00 G=NL AGGRECAT=LII✓ITAPPLIES DER: PRODJCTS-CCMD/OP AGG $ 2,000,000 POLICY PRO IFO- LOC AUTOMOBLELIABILITY ANY AUTO 06MME12850 05/07/2006 05/07/2001 GOMDINCD SINGLE L MIT $ ('_a acci:krtl AI I OWNFri At ITOS X SCHEDU_ED ALTOS BODILY I\JURY $ B (=erpars°') 250,000 X HREUAUIOS BODILY I\JURY X NON-O✓✓NEC $ .AUTOS rer ao dda-t; 500,000 PROPER.-Y DAMWGE $ (=e1 a:;udaY: 100,000 GARAGE LIABILITY AI.tTO ONLY-EA.ACCIDENT ANY AU IQ WHER HAN EA ACC $ AUTO ONLY: AGG $ EXCESSAIMBRELLALIABILITY CACIIOCC_RRCN C $ OCC_P, C_RINU^WADE AGGREGATE $ D'_DIx-T BL= $ RETENTION £ S WORKER$COMPENSATION AND 6KUB922X887105 08/17/2005 08/17/2006 XMX 0TH EMPLOYERS'LIABILITY T T C ANY-P,�),-RIETORDPARTNE PIE.XECLFIVE E.L.EACH ACCICENfi $ 1,000,DO OF=ICERW EMBER EXCLUCED i I'ysE,desc-ite urder F1 r)ISFA1'-FA.FMDI 0YF $ 1,000,000 SPECIAL P'<OVISICNS be ow E.L.DISEASE-P_ILICY L MIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENITI SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. JACK SHAW BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 230 SOUTH BRADFORD STREET OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. NORTH ANDOVER, MA 01845 AUTHORIZED REPRESENTATME Luci Fitz atrick/CP2 ��"�'��'�' ACORD 25(2001108) FAX: (978)459-7078 ©ACORD CORPORATION 1988